<script type="text/javascript" src="js/eleve.js"></script>

<div class="formPopUp">
	<span class="b-close">
		<span>X</span>
	</span>
	<form action="index.php" method="POST" id="createEleveForm">
		<div class="form_container" id="form_container">
			<div class="form_contents">
				<div class="form_element_container">
					<div class="form_title" id="form_title">
						<div class="content">
							<span class="title" id="title">Nouveau Eleve</span>
						</div>
					</div>
				</div>

				<div class="form_element_container">
					<label class="element_label" id="element_label" id="element_label">
						<span class="element_label_value">
							Nom
						</span>
						<span class="required">
							*
						</span>
					</label>
					<div class="form_contents" id="form_container">
						<div class="content">
							<input type="text" class="input_text" name="inscription_nom" id="inscription_nom" />
						</div>
					</div>
				</div>

				<div class="form_element_container">
					<label class="element_label" id="element_label" id="element_label">
						<span class="element_label_value">
							Pr&eacute;nom
						</span>
						<span class="required">
							*
						</span>
					</label>
					<div class="form_contents" id="form_container">
						<div class="content">
							<input type="text" class="input_text" name="inscription_prenom" id="inscription_prenom" />
						</div>
					</div>
				</div>

				<div class="form_element_container">
					<label class="element_label" id="element_label" id="element_label">
						<span class="element_label_value">
							Email
						</span>
						<span class="required">
							*
						</span>
					</label>
					<div class="form_contents" id="form_container">
						<div class="content">
							<input type="text" class="input_text" name="inscription_email" id="inscription_email" />
						</div>
					</div>
				</div>
				
				<div class="form_element_container">
					<label class="element_label" id="element_label" id="element_label">
						<span class="element_label_value">
							Date de Naissance
						</span>
						<span class="required">
							*
						</span>
					</label>
					<div class="form_contents" id="form_container">
						<div class="content">
							<input type="text" placeholder="JJ/MM/AAAA" class="input_text" name="inscription_date_naissance" id="inscription_date_naissance" />
						</div>
					</div>
				</div>

                                <div class="form_element_container">
					<label class="element_label" id="element_label" id="element_label">
						<span class="element_label_value">
							Sexe
						</span>
						<span class="required">
							*
						</span>
					</label>
					<div class="form_contents" id="form_container">
						<div class="content">
							<select class="input_text" name="inscription_sexe" id="inscription_sexe">
                                                            <option value="M">Masculin</option>
                                                            <option value="F">F&eacute;minin</option>
                                                        </select>
						</div>
					</div>
				</div>

				<div class="form_element_container">
					<label class="element_label" id="element_label" id="element_label">
						<span class="element_label_value">
						   Login 
						</span>
						<span class="required">
							*
						</span>
					</label>
					<div class="form_contents" id="form_container">
						<div class="content">
							<input type="text" class="input_text" name="inscription_login" id="inscription_login" />
						</div>
					</div>
				</div>

				<div class="form_element_container">
					<label class="element_label" id="element_label" id="element_label">
						<span class="element_label_value">
							Mot de Passe
						</span>
						<span class="required">
							*
						</span>
					</label>
					<div class="form_contents" id="form_container">
						<div class="content">
							<input type="password" class="input_text" name="inscription_password" id="inscription_password" />
						</div>
					</div>
				</div>

				<div class="form_element_container">
					<label class="element_label" id="element_label" id="element_label">
						<span class="element_label_value">
							V&eacute;rification
						</span>
						<span class="required">
							*
						</span>
					</label>
					<div class="form_contents" id="form_container">
						<div class="content">
							<input type="password" class="input_text" name="inscription_verif" id="inscription_verif" />
						</div>
					</div>
				</div>

				<div class="form_element_container" id="submit_btn">
					<div class="form_contents" id="form_container">
						<input type="hidden" value="eleve_creation" name="action" />
						<input type="button" class="submit" id="submit_eleve" name="eleve_submit" id="inscription_submit" value="Valider"   />
					</div>
				</div>
				<div class="loading" id="loading">&nbsp;</div>
				<div class="error" id="error">Une erreur est survenue lors de l'enregistrement de vos informations. Veuillez r�essayer ult&eacute;rieurement</div>
			</div>
		</div>
	</form>
</div>